Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
EIN 43-1791656 • 501(c)3 • Fordland, MO
Profile
To improve the health of our wider rural community and to serve as the independent provider of choice by offering comprehensive healthcare services to all area residents without regard to insurance or income.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
30th percentile
Higher debt load relative to assets than 30% of similar nonprofits.
Liabilities / Revenue
24th percentile
Higher debt load relative to revenue than 24% of similar nonprofits.
Net Margin
49th percentile
Higher net margin than 49% of similar nonprofits.
Top Officer Pay
86th percentile
Higher top officer pay than 86% of similar nonprofits.
Top officer pay equals 4.3% of source-year revenue.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
29th percentile
Faster revenue growth than 29% of similar nonprofits.
Assets
Up$11,990,281
Up $171,457 (+1.5%) from 2023
Liabilities
Down$604,656
Down $182,312 (-23%) from 2023
Net Assets
Up$11,385,625
Up $353,769 (+3.2%) from 2023
Revenue
Down$9,002,946
Down $231,267 (-2.5%) from 2023
Expenses
Up$8,650,777
Up $1,409,973 (+19%) from 2023
Net Income
Down$352,169
Down $1,641,240 (-82%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To improve the health of our wider rural community and to serve as the independent provider of choice by offering comprehensive healthcare services to all area residents without regard to insurance or income.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $4,696,627 | $4,419,495 | ▼ $277,132 |
| Cash and Non-Interest-Bearing Accounts | $3,422,768 | $3,445,838 | ▲ $23,070 |
| Accounts Receivable | $645,668 | $626,022 | ▼ $19,646 |
| Savings and Temporary Cash Investments | $176,576 | $440,618 | ▲ $264,042 |
| Investments Other Securities | $248,480 | $317,562 | ▲ $69,082 |
| Pledges and Grants Receivable | $208,057 | $187,615 | ▼ $20,442 |
| Intangible Assets | $73,590 | $73,590 | → $0 |
| Prepaid Expenses and Deferred Charges | $35,176 | $54,160 | ▲ $18,984 |
| Inventories for Sale or Use | $19,990 | $19,323 | ▼ $667 |
| Other Notes and Loans Receivable, Net | - | $202 | - |
| Total Assets | $11,818,824 | $11,990,281 | ▲ $171,457 |
| Other Assets Total | $2,291,892 | $2,405,856 | ▲ $113,964 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $553,022 | $565,170 | ▲ $12,148 |
| Mortgage Notes Payable Secured by Investment Property | $233,946 | - | - |
| Other Liabilities | - | $39,486 | - |
| Total Liabilities | $786,968 | $604,656 | ▼ $182,312 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $11,009,183 | $11,372,952 | ▲ $363,769 |
| Net Assets With Donor Restrictions | $22,673 | $12,673 | ▼ $10,000 |
| Total Net Assets Fund Balance | $11,031,856 | $11,385,625 | ▲ $353,769 |
| Total Liabilities and Net Assets / Fund Balance | $11,818,824 | $11,990,281 | ▲ $171,457 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,821,439 | $667,658 | $4,489,097 |
| Equipment | $558,750 | $1,630,341 | $2,189,091 |
| Land | $39,306 | - | $39,306 |
| Other Assets Org | $17,884 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $16,128 | - | ▲ $2,756 | - | $17,884 |
| 2023 | $14,221 | - | ▲ $1,907 | - | $16,128 |
| 2022 | $16,536 | - | ▼ $2,315 | - | $14,221 |
| 2021 | $14,681 | - | ▲ $1,855 | - | $16,536 |
| 2020 | $13,537 | - | ▲ $1,144 | - | $14,681 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Angela Clay | Physician | FT | $365,670 | $23,340 | $389,010 |
| William Keaster | Dentist | FT | $317,897 | $26,588 | $344,485 |
| Taylor R Short | Dentist | FT | $311,163 | $16,631 | $327,794 |
| Evan Rowland | Dentist | FT | $213,623 | $46,659 | $260,282 |
| David Steinmann | CEO | FT | $180,328 | $15,108 | $195,436 |
| Debby S Carl | Nurse | FT | $133,976 | $48,240 | $182,216 |
| Ray Seiberlich | CFO | FT | $117,866 | $10,552 | $128,418 |
| Aimee E Jarrett | COO | FT | $111,616 | $2,285 | $113,901 |
| Name | Title |
|---|---|
| Bill Gdanitz | President/di |
| Alicia Hagen | Director |
| Gene Crewse | Director |
| Jordan Hembree | Director |
| Kendra Cunningham | Director |
| Scott Allen | Director |
| Valerie Cochara | Director |
| Vanessa Owens | Director |
| Linda Kensinger | Secretary/di |
| Harry Chapin | Treasurer/di |
| Paul Farnsworth | Vice Pres/di |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,352,647 |
| Other Expenses | $2,298,130 |
| Total Fundraising Expense | $4,845 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,626,865 | $1,468,690 | $3,655 | $5,099,210 |
| Current Officers, Directors, Trustees, and Key Employees | $347,465 | $90,290 | - | $437,755 |
| Other Employee Benefits | $275,565 | $127,950 | $338 | $403,853 |
| Payroll Taxes | $248,049 | $106,307 | $252 | $354,608 |
| Fees for Services Other | $322,549 | - | - | $322,549 |
| Depreciation Depletion | $211,326 | $90,568 | $214 | $302,108 |
| Information Technology | $211,139 | $90,488 | $214 | $301,841 |
| Occupancy | $97,363 | $173,890 | $94 | $271,347 |
| Office Expenses | $129,317 | $115,355 | $28 | $244,700 |
| Fees for Services Management | $94,381 | - | - | $94,381 |
| Advertising | $75,277 | $18,690 | - | $93,967 |
| Fees for Services Accounting | - | $90,573 | - | $90,573 |
| Insurance | $54,172 | $3,076 | $7 | $57,255 |
| Pension Plan Contributions | $40,026 | $17,154 | $41 | $57,221 |
| Other Expenses | $203,581 | $44,025 | - | $44,025 |
| Interest | $2,334 | $1,000 | $2 | $3,336 |
| Fees for Services Legal | - | $3,171 | - | $3,171 |
| Conferences and Meetings | - | $3,169 | - | $3,169 |
| Travel | $240 | - | - | $240 |
| Total Functional Expenses | $6,201,536 | $2,444,396 | $4,845 | $8,650,777 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $9,390,436 |
| Expenses per Audited Statements | $8,650,777 |
| Total Expenses per Form 990 | $8,650,777 |
| Expenses Not Reported on Form 990 | $739,659 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Liability | $39,486 |
“The board of directors are presented copies of the final form 990 and the accompanying schedules prior to being filed with the irs. Members of the board are asked to review the return individually and to contact the return preparer or executive officers with any questions or concerns.”
“1) an interested person must disclose to the governing board all material facts regarding the proposed transaction or arrangement. 2) after presentation of facts, the interested person must leave the presence of the governing board in order for the board to discuss and vote if a conflict of interest exists. 3) the board investigates if alternative arrangements for the transaction exists and after due diligence, determines whether the organization can obtain with reasonable efforts a more advantageous transaction from another person or entity which would not give rise to a conflict of interest. 4) if a more advantageous transaction or arrangement is not reasonably possible under the circumstances not producing a conflict of interest, the governing board shall determine by majority vote of the disinterested directors whether the transaction in the organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision whether to enter into the transaction. 5) if the board has reason to believe that a member has failed to disclose a possible conflict of interest, that member will be allowed to explain the failure to disclose. After the boards consideration of the matters, it shall take the appropriate corrective action.”
“The board of directors obtains and reviews current salary figures obtained from local market data, state and national averages for the chief executive officer. The board of directors then reviews the current compensation package for the chief executive officer and approves any changes to the compensation package. The compensation package is then reevaluated prior to the end of the three year contract term. All board deliberations regarding the chief executive officers compensation package are recorded in minutes of the organization.”
“The board of directors responsibility includes hiring, firing, evaluating, and determining the chief executive officer's compensation package. The chief executive officer is then responsiblie for hiring, firing, evaluating the staff of the organization, including the chief financial officer's compensation package. Comparable compensation for similarily qualified persons in similar comparable positions for similar a organization is utilitized in making the determination.”
“Governing documents, conflicts of interest policy, and financial statements are readily available to the public upon request.”
“Volunteers primarily provide assistance during fundraising events and community outreach activities.”
“Income is used to assist with support services to fordland clinic patients.”
“Fordland clinc, inc. Is a not-for-profit organization that is exempt from income taxes under section 501(c)(3) of the internal revenue code. The clinic has also been classified as an entity that is not a private foundation within the meaning of section 509(a) and qualifies for deductible contributions as provided in section 170(b)(1)(a)(vi). The federal form 990 of the clinic for 2024, 2023 and 2022 are subject to examination by the respective taxing authorities, generally for three years after they were filed.”
“340b pharmaceutical costs 739,659”
“340b pharmaceuticals costs 739,659”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 553022 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 565170 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 645668 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 626022 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE THE HEALTH OF OUR WIDER RURAL COMMUNITY AND TO SERVE AS THE INDEPENDENT PROVIDER OF CHOICE BY OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO ALL AREA RESIDENTS WITHOUT REGARD TO INSURANCE OR INCOME. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 18690 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 75277 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 93967 |
| IRS990/AllOtherContributionsAmt | 0 | 695324 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | RAY SEIBERLICH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4177672273 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1059 BARTON DR |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | FORDLAND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 656527305 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3422768 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3445838 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 90290 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 347465 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 437755 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3169 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 3169 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CostOfGoodsSoldAmt | 0 | 739659 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2029476 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 6175 |
| IRS990/CYOtherExpensesAmt | 0 | 2298130 |
| IRS990/CYOtherRevenueAmt | 0 | 778262 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 6189033 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 352169 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6352647 |
| IRS990/CYTotalExpensesAmt | 0 | 8650777 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 4845 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 9002946 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 214 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 90568 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 211326 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 302108 |
| IRS990/Desc | 0 | FORDLAND CLINIC PROVIDES COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH AND WELLNESS SERVICES TO AREA RESIDENTS WITHOUT REGARDS TO INSURANCE OR THE ABILITY TO PAY. WITH SERVICES OFFERED ON A SLIDING FEE SCHEDULE, FORDLAND CLINIC PROVIDED OVER 400,869 IN DISCOUNTED MEDICAL CARE SERVICES TO PATIENTS IN 2024. FORDLAND CLINIC IS THE MEDICAL HOME FOR MANY WHO WOULD NOT OTHERWISE RECEIVE CARE DUE TO THE REMOTENESS OF THE RURAL AREA IN WHICH THEY LIVE, LACK OF INSURANCE, OR FINANCIAL CIRCUMSTANCES. IN 2024, FORDLAND CLINIC SERVED 8,321 PATIENTS FOR A TOTAL 29,426 HEALTHCARE VISITS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 22673 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 12673 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 100 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 6201536 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 90573 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 90573 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3171 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3171 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 94381 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 94381 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 322549 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 322549 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 25188 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 6181 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 34112 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 10552 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 25559 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 2285 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 14458 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 22765 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WILLIAM KEASTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TAYLOR R SHORT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DEBBY S CARL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RAY SEIBERLICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | EVAN ROWLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | AIMEE E JARRETT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DAVID STEINMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ANGELA CLAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | BILL GDANITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PAUL FARNSWORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LINDA KENSINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | HARRY CHAPIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | GENE CREWSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | VANESSA OWENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | VALERIE COCHARA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KENDRA CUNNINGHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SCOTT ALLEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ALICIA HAGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JORDAN HEMBREE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 319297 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 321613 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 148104 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 117866 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 234723 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 111616 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 180978 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 366245 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PRESIDENT/DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE PRES/DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY/DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TREASURER/DI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1996 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 1334152 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 9742605 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 1373925 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 214 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 90488 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 211139 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 301841 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 7 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3076 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 54172 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 57255 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 73590 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 73590 |
| IRS990/InterestGrp/FundraisingAmt | 0 | 2 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1000 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2334 |
| IRS990/InterestGrp/TotalAmt | 0 | 3336 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 19990 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 19323 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 6175 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 6175 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 248480 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 317562 |
| IRS990/IRPDocumentCnt | 0 | 14 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2297999 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4696627 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4419495 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 6717494 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO IMPROVE THE HEALTH OF OUR WIDER RURAL COMMUNITY AND TO SERVE AS THE INDEPENDENT PROVIDER OF CHOICE BY OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO ALL AREA RESIDENTS WITHOUT REGARD TO INSURANCE OR INCOME. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 233946 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 11031856 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 11385625 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 634266 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 634266 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1600 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 11009183 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 11372952 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 94 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 173890 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 97363 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 271347 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 28 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 115355 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 129317 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 244700 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2291892 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2405856 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 338 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 127950 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 275565 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 403853 |
| IRS990/OtherExpensesGrp/Desc | 0 | DENTAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 44025 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 261887 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 203581 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 261887 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 203581 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 44025 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 39486 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621110 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | INVESTMENT IN MO HEALTH PLUS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 143996 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 143996 |
| IRS990/OtherRevenueTotalAmt | 0 | 143996 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 3655 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1468690 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3626865 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5099210 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 202 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 252 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 106307 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 248049 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 354608 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 41 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 17154 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 40026 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 57221 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 208057 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 187615 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 35176 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 54160 |
| IRS990/PrincipalOfficerNm | 0 | DAVID STEINMANN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT HEALTHCARE SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MISCELLANEOUS INCOME |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 6184122 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4911 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 6184122 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 4911 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 3473485 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 22417 |
| IRS990/PYOtherExpensesAmt | 0 | 2252392 |
| IRS990/PYOtherRevenueAmt | 0 | 498440 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5239871 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1993409 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4988412 |
| IRS990/PYTotalExpensesAmt | 0 | 7240804 |
| IRS990/PYTotalRevenueAmt | 0 | 9234213 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 352169 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 6967295 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 176576 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 440618 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 2029476 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 3473485 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3857246 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2633882 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2700108 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 14694197 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 6153 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 22417 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2431 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4993 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4851 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 40845 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 25549959 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.99720 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.99690 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 14694197 |
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